At WINGS, we believe the key to creating lasting change is empowering people at the local, community level. For this reason, we established our Voluntary Family Planning Promoter network back in 2006. Volunteer promoters are men and women who distribute low-cost short-term contraceptives and provide quality counseling and referrals to WINGS for additional services. As our promoters are locals, they have an intimate linguistic and cultural knowledge of the communities they serve. Currently, 60 women and men serve as WINGS´ volunteer promoters throughout 11 departments.
Lucy, 24 years old, was born in Santa María Cauqué, a small village located in southern Guatemala. She is one of five siblings, and her mother is a midwife. In Lucy´s community, health services are scarce, and as a result she helped with her first delivery when she was only 7. Though Lucy was exposed to reproductive health issues at a very early age, her family and teachers never taught her about her own reproductive and sexual health. When Lucy was sixteen, she had her first baby. She shared with us that at the time she felt like she was still a child herself, not ready to have a child of her own. With little to no money, Lucy worked hard as a farmer so she could make ends meet.
One day a staff member from WINGS came to Lucy’s village to offer counseling and sexual education talks. “It is like she came into my life like a mother, to talk to me about all the things I had never learned”. From there, Lucy became very interested in working with WINGS, and was trained to become a family planning promoter. She said at first only her cousin came to her for a contraceptive method, but slowly, word traveled throughout the community and more women started to arrive. Now, Lucy has been with WINGS for six years and provides counseling and contraceptives to more than 250 women each month.
Lucy explains that her role in her community is crucial to many poor people who cannot afford health care in a private health facility. Many pregnancies in her community are the result of lack of means to pay for contraception. When discussing her role, Lucy mentions that she sees about 60 women per week. She has a form that she fills out for each of the women, to keep track of when they are due for their contraceptive method.
“Without even reading my forms, I always know when each of my patients needs her contraceptive method. I know all the ladies by name!”
Personally, family planning has been challenging for Lucy. When she started working with WINGS, her husband and mother-in-law refused to accept that she only wanted to have two children. Her husband was raised in a family of many siblings, and he told her his mother had many kids, so she should do the same. At some point Lucy’s husband even told her that contraceptives were poisonous and that he would not give her permission to use them. Lucy’s mother-in-law said, “You are a woman; you have to keep as many children as God sends you”. Lucy bravely chose to use a Jadelle subdermal implant without her family knowing. She recalls what she felt making such a big decision; “I did it because I did not want to have the same life that my parents had, and for that I am proud. I can now say that I am in a much different situation than my parents were. There used to be so much ignorance, and now I feel like I’ve reached a very successful point.”
Lucy sees the change and successes in her community. Women never used to talk about family planning. Now, the majority of women ask Lucy when she’s coordinating the next mobile clinic, or when they can stop by for counseling. Now, many want to use long-acting reversible contraception, such as the IUD or the subdermal hormonal implant, which would have been unthinkable in the past.
When asked how working with WINGS has impacted her life, Lucy shared that before, she and her husband would not have been able to afford the most basic things such as water and electricity. That thanks to WINGS, she has an income of her own, which has empowered her in many ways. Together with her husband, she has saved up money to invest in the future of their children. Lucy is humbled by the trust her community places in her, but is most shocked by the change in her husband’s attitude. For a long time, he was reticent about anything that had to do with WINGS. Lucy shared with us that her husband apologized; “I am so sorry, because when you first wanted my support, I didn’t give you that. Now, you have been able to help yourself. You are free; you should do whatever you want to do. Support whomever you want to support. Fight.”
After six years with WINGS, Lucy is extremely happy to be making such a positive impact in her community and hopes to continue for years to come.
In Guatemala, cervical cancer is the number one cause of cancer-related deaths among Guatemalan women. While the disease is preventable and highly treatable if detected early, in countries like Guatemala where healthcare is largely inaccessible, it’s a grim story.
Inadequate health centers, lack of knowledge, and geographic barriers make it difficult for women to get screened for cervical cancer in Guatemala. Ten years ago, WINGS developed its Cervical Cancer Prevention Program to overcome these challenges by providing visual inspection with acetic acid and immediate cryotherapy treatment for pre-cancerous cells. We continue to offer these life-saving services in stationary clinics in Sololá, Cobán and Antigua, and through our mobile clinics, which travel to the most remote areas of the country to reach underserved women. We have provided lifesaving services to improve the lives of thousands of women in Guatemala, even within our own team!
41 year old WINGS’ Nurse Rosy was born in a rural community in San Cristobal, located in northern Guatemala. Rosy travels every month with our mobile team to provide family planning information and contraceptives to the most remote areas of the country.
Like many of the girls and women we serve, Rosy has faced many challenges in her life. When she was only 15 years old, her family forced her to marry a man who turned out to be abusive. Sadly, in Guatemala it is very common for young girls to be married off without their consent. Rosy suffered through her marriage because, similar to many women in her situation, she didn’t have a say in any decisions. Although Rosy was finally able to separate from her husband, the difficulties persisted. As a single mother, Rosy had to figure out how to make ends meet so she could feed her four children and send them to school. Luckily, her former father-in-law was very supportive and encouraged her to go back to school.
Rosy and her family had never received any information about reproductive health and prior to resuming her studies, she knew very little about her own health in general. As a child, she lost her mom and aunt to cervical cancer. Neither had ever been screened and Rosy was terrified that the she would face the same health burden.
However, as an Assistant Nurse providing these important services throughout Northern Guatemala, Rosy decided to undergo a screening with our team. Unfortunately, our staff discovered abnormal cell growth which could lead to cancer, but our team treated Rosy immediately.
As Rosy shared with our team that day, “I am truly grateful to WINGS for supporting me and allowing me to keep being a mother to my children. I now have my nursing diploma and I am so proud to be able to help people who need it. I am thankful for the opportunity to work with WINGS; I love every part of my job. I give educational talks to different communities in my native Mayan language; I provide different birth control methods; and I screen women to help prevent cervical cancer. This work is so important and I hope that I can keep doing it forever.”
Like Rosy’s aunt and mother, there are thousands of women in Guatemala who do not know about the causes of cervical cancer and how to prevent it. WINGS has worked endlessly to change this and provide information and reproductive health services to Guatemalan women in need. In 2015, we surpassed our cervical cancer screening projection by 141%, ensuring that 3,062 women were able to undergo preventive screenings. And in the first three months of 2016 alone, we have already provided 496 cervical cancer screenings. Moving forward, we will continue providing these imperative services, thanks to your unwavering support.
To support women like Rosy, make a donation to WINGS today.